All ages under 18 MUSTHAVE a liability waiver signed by their parent or legal guardian. EVERYONEMUSTHAVE a waiver initialed and COMPLETELY filled out.

It is your responsibility to inform the instructor of your limitations before class begins.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

I understand, agree and acknowledge the previous paragraph

Basic Information

Use parent or guardian information if under 18

* First Name

* Last Name

* Email

Date of Birth

Contact Information

Use parent or guardian information if under 18

Zip / Postal Code

Phone

Additional info

What class(es) are you taking?

Minor Information

Enter the information for the children for which you are responsible for:

You certify that you are the legal guardian or parent of the above listed minors

I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered at Ignite Movement Studio. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any classes, programs, or workshops. I understand the risks associated with the activities offered by Ignite Movement Studio and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities.

I hereby WAIVEANDRELEASE Ignite Movement Studio, its owners, officers, employees, and instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered at the facility.

In taking part in classes, workshops, or other activities at Ignite Movement Studio, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities.

I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.

Please practice mindfully and enjoy the many benefits of practicing dance, fitness and yoga with Ignite Movement Studio.

I accept Ignite Movement Studio's release of Liability Waiver

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.